Communicable Diseases Surveillance System in Aruba

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Communicable Diseases Surveillance System in Aruba
A Multicultural Caribbean United Against
HIV/AIDS Santo Domingo, Dominican Republic March
5-7, 2004

• drs. Chanin Boekhoudt
• Department of Public Health Aruba

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INFORMATION ON ARUBA
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INFORMATION ON ARUBA

• area 193 sq km
• population 90.506 (Census 2000)
• language Dutch and Papiamento
• (English and Spanish are widely spoken)
• dependency status
• part of the Kingdom of the Netherlands

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HEALTH CARE SYSTEM

• General Health Insurance (as of January 2001)
• 38 General Practitioners
• 60 Specialists (20 specialties)
• 1 Hospital
• 1 Medical Center
• 1 Home nursing organization
• 1 national laboratory
• 3 private
• laboratories

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BOTTLENECKS SURVEILLANCE SYSTEM

• Not clear WHERE to notify
• FEEDBACK from Public Health to Physicians was
  lacking
• Not clear WHAT and WHEN to notify
• FORMS not appropriate
• Not aware of the IMPORTANCE of notifying
• NO INCENTIVES to participate
• LAWS are outdated

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ADDRESSING THE CHALLENGES

• WHERE to notify
• FEEDBACK
• 2 newsletters
• INFORMATION (QUARTERLY)
• ALERT
• 1 2 pages
• sent by fax
• request to notify to
• the section of Communicable Diseases

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Newsletters
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ADDRESSING THE CHALLENGES

• WHAT and WHEN to notify
• Communicable Diseases Manual
• Dutch and Papiamento
• Classification of diseases according to priority
  in notification
• Group A immediately
• Group B within 24 hours
• Group C within a week

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Communicable Diseases Manual
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ADDRESSING THE CHALLENGES

• Appropriate FORMS
• Develop new forms
• 1 for group AB
• 1 for group C

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Form Group AB
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Form Group C
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ADDRESSING THE CHALLENGES

• Awareness on IMPORTANCE OF NOTIFICATION
• INCENTIVE to Participate
• Workshop for physicians and health care
  providers
• importance of notification for public health
• introduction Communicable Diseases Manual
• introduction new notification forms
• Continuous Medical Education accreditation

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Workshop
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ADDRESSING THE CHALLENGES

• Modernizing LAWS
• STILL TO BE ADDRESSED

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Surveillance System Aruba
Physicians
Manual Forms
Section of Contagious Diseases
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Surveillance System Aruba
Physicians
Feedback on patient
Section of Contagious Diseases
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Surveillance System Aruba
Physicians
Lab. requests
Section of Contagious Diseases
National Laboratory of Aruba
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Surveillance System Aruba
Physicians
Lab. results
Section of Contagious Diseases
National Laboratory of Aruba
Lab. results
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Surveillance System Aruba
Physicians
Section of Contagious Diseases
Section of Epidemiology Research
National Laboratory of Aruba
Submit data
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Surveillance System Aruba
Physicians
Section of Contagious Diseases
Section of Epidemiology Research
National Laboratory of Aruba
Health analysis
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Surveillance System Aruba
Physicians
PH Feedback 2 newsletters
Section of Contagious Diseases
Section of Epidemiology Research
National Laboratory of Aruba
PH Feedback 2 newsletters
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Surveillance System Aruba
Physicians
Section of Contagious Diseases
National Laboratory of Aruba
Section of Epidemiology Research
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OUTCOMES AFTER 1 YEAR

1. INCREASE IN NOTIFICATION
2. MORE CAPABLE TO ANTICIPATE OUTBREAKS
3. CARRYING OUT AN OUTBREAK INVESTIGATION
4. MORE CONTACT WITH PHYSICIANS

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LESSONS LEARNT

1. DEVELOP RAPPORT WITH STAKEHOLDERS
2. FEEDBACK
3. DEVELOP PARTNERSHIPS
4. EVALUATE SYSTEMS PERIODICALLY
5. SURVEILLANCE SYSTEM SHOULD BE SIMPLE ENOUGH TO
   MAINTAIN

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